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Racing's Future Without Fatal Fractures: Science Fiction?

New Post has been published on http://lovehorses.net/racings-future-without-fatal-fractures-science-fiction/

Racing's Future Without Fatal Fractures: Science Fiction?

Clinical science has mademeaningfulstrides over the past 30 years to help usseewhy catastrophic injuries occur. This has led to techniquesandpractices that enable veterinarians to identifyinnumerableat-risk horses.

Photo: Courtesy University of Pennsylvania School of Veterinary Medicine

By Christopher M. Riggs, BVSc, PhD, DEO, Dipl. ECVS, MRCVS, The Hong Kong Jockey Club Department of Veterinary Clinical Services Equine Hospital, Sha Tin Racecourse, New Territories, Hong Kong

More than 80% of life-threatening injuries Thoroughbreds sustain at racetracks are the result of limb fractures. Losing horses this way is avery specialissue for racing in terms of horse welfareandowner finances.

Most fractures happen during galloping without anyspecificinciting event.lotsscientific studies over the past 25 yearsHavingshown that these injuries are the consequence of repetitive stress injuries to the skeleton due to the repeated large loads associated with high-speed work.

Bone tissuemaydetect thekindof loadsandforces placed on itwithrespond through aorganicprocess called bone adaptation. This process strengthens the bonethereforeit is betterableto withstand thecontemporaryloadswithforces. However, adaptation is not instant,andaselementof the process,some onesareas of bone will become weaker before they become stronger.whetherthe horse continues to do repeated high-intensity exercise during this phase, microdamage accumulateswithcandirectto small, incomplete stress fractures, also called “bone fatigue.”

providedthe horse shows signs of lameness during this phase, the horse’s veterinarianandtrainercanlaststeps to reduce the bone fatiguewithallow the bone to repair itself. The outlook for these horses is usually excellent.

Unfortunately, ameaningfulproportion of horses that suffer bone fatigue injury show no warning signs,andthefirstindication ofoneproblem isthelife-threatening breakdown duringarace or training gallop.

Howcanwe reduce the number of horses that suffer catastrophic fractures?

1:tailoredtraining schedules

We canemploythe scientific knowledge of how bone responds to exercise tocopytraining schedules that stimulate bone development, reduce the amount of microdamage,andallow time for bone healing. Each horse’s training schedule should betailor-madeto consider risk factors for bone damage suchOnceprecedingtraining history, prolonged rest periods,withfitness,WhenwellAt the timethepossibilityof the horse’s feetwithshoeing.

2: Identify more horses with bone fatiguewithearly microdamage

There is currently no cheap, simple,witheffective screening tool that could be deployed across the racehorse population to detect early fatigue damage. However, epidemiological studies of Thoroughbred populationsHaveshown thatsuregroups of horses (for example, those coming back intorapidwork afteranperiod of rest) are at increased risk ofsome onesinjuries. There are alsosome onestests for metabolic markers in blood or urine that could help identify horses in high risk groups with active fatigue damage. Research is ongoing to find more accuratewitheffective screening tools.

3: Stop incomplete stress fractures from progressing to catastrophic fractures

Clinical signs warning oftheunderlying stress fracture must be taken seriouslyandinvestigated. Avoiding the overuse of pain killerswithanti-inflammatory drugs willMakingit easier for trainerswithveterinarians to detect subtle signs,whetherpresent.

Additionally, appropriately trained veterinary surgeons in racehorse practice canMakethe most of already available diagnostic techniques to closely monitor horses in high-risk groups. By applying the latest knowledge, suchWhenexplicitradiographic views of the legs, vets canemploystandard, portable equipment to detect more early fatigue-related injuries. MRIwithradioactive bone scanning are also useful techniques for gathering more information inspecificcases, although neither is suitable for general screening of large numbers of horses.

Seeingonehorse breakdown on the track isautterly miserable experience. Thankfully, it does not happen often, although when it does the impact is great. Clinical science has madesignificantstrides over the past 30 years to help usrealizewhy these injuries occur. This has led to techniquesandpractices that enable veterinarians to identifynumerousat-risk horses. Wecanmeanwhileintervene to enforcearehabilitation program that allows the bone to healwiththese horses to recover.

However,aproportion of injuries that predispose horses to catastrophic fracture remain elusiveandundetectable by conventional means. Those of us caring for Thoroughbred racehorses need thatpersistbig step to developonepractical screening tool to identify these hidden injuriesandsave these horses,Oncewell.

About the Author

World Equine Veterinary Association

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